Individual
MS. JILL I LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MDIV
Contact information
Practice address
141 E FAIRMOUNT AVE, STATE COLLEGE, PA 16801-5315
(814) 234-3464
Mailing address
141 E FAIRMOUNT AVE, STATE COLLEGE, PA 16801-5315
(814) 234-3464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW009100-L
PA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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